Unknown Individual – Neurology Physician, NPI 1225216096

Unknown Individual is a healthcare provider. based in Coon rapids, Minnesota. specializing in Neurology Physician. They hold a License No. 57766 (MN). The NPI Number for Unknown Individual is 1225216096

Main info

Organization
Inactive
20 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225216096
Phone
(763) 427-8320
Address
3833 COON RAPIDS BLVD NW
Deactivation Date
2 August 2023

Doctor Profile

Medical School Name
TOLEDO MEDICAL COLLEGE
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
1557487329
Group Practice PAC ID
2769706431
Professional Enrollment ID
I20200218000573

Contacts

Secure Messaging
dustinharker@hcpa.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:0State licenses:3Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55434, United States

    SUITE 100

    COON RAPIDS, MN 554332643

    Phone: (763) 427-8320

    Fax: (763) 302-4338

    Type: Location

  • 2101 N WALDRON ST

    HUTCHINSON, KS 675021131

    Phone: (620) 669-2500

    Fax: (620) 694-2102

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2023-05-03 • Largest payer in this snapshot: Lilly USA, LLC ($51).

Total Amount

$117

General + Research + Ownership

Payments

7

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99205New patient office or other outpatient visit, 60-74 minutes166166$0
99214Established patient office or other outpatient visit, 30-39 minutes158152$0
36415Insertion of needle into vein for collection of blood sample150147$0
86235Measurement of antibody for assessment of autoimmune disorder, any method13222$0
80053Blood test, comprehensive group of blood chemicals122122$0
View full utilization report →

Insurance plans in this area (ZIP 55433)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769706431View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1225216096 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Neurology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Coon Rapids, Minnesota for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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